science

A health plan cancels autism vows for no reason. know which

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1 year ago Andrea Houle

Unimed Polistana. Image: reproduction

The Committee for the Defense of Persons with Disabilities of the Alesp (Legislative Assembly of São Paulo) has received, as of May 9, 170 complaints related to the cancellation of health plan agreements without providing justification. The largest repeat is from patients with autism spectrum disorders (ASD), 90% of complaints against Unimed, the panel says.

Cancellations are generally communicated via email or app, and begin at the end of April. State Rep. Andrea Werner (PSB), who chairs the committee, asked the Consumer Attorney General’s Office to conduct an investigation. It is expected that the parliamentarian will meet with the Public Prosecution office next Monday (15), to demand a general civil lawsuit for collective moral damages.

“The plans do this because they know that many clients cannot afford a lawyer because they pay the plans with sacrifice. Companies will be able to clean up their clients’ portfolio,” said Andia Werner.

In 2022, the Supreme Court of Justice (STJ) ruled that health plan operators must continue to assist a beneficiary who is hospitalized or undergoing treatment even after the contract is unilaterally terminated, as long as the customer continues to pay the monthly fee.